Factors Influencing Nurses' Attitudes Toward Terminal Care

간호사의 임종간호 태도에 미치는 영향요인

  • Park, Hyo jin (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Kang, Eun Hee (Department of Nursing, Kyungnam College of Information & Technology)
  • Received : 2020.01.07
  • Accepted : 2020.02.05
  • Published : 2020.02.28


Purpose : The purpose of this study was to identify the extent to which nurses' death perceptions, death anxiety, and stress associated with terminal care affects their attitudes toward terminal care. Method : A total of 214 nurses were asked questions about characteristics, death perceptions, death anxiety, stress associated with end-of-life care, and terminal care attitudes, using structured questionnaires. The data were analyzed using descriptive analysis, t-test, ANOVA, Scheffé's test, Pearson's correlation coefficients, and stepwise multiple regression. Results : Factors influencing terminal care attitudes in participants were positive meaning associated with death, respect for life, final education, end-of-life nursing education experiences, stress associated with end-of-life care, death anxiety, and position. These factors explained 38.7% of variance in participants' terminal care attitudes (F=20.18, p<.001). Conclusion : In order for nurses to have a positive attitude toward terminal care, it is necessary to raise positive awareness about death and respect for life, and it is necessary to develop various educational programs and strengthen their capacity through continuous education.


  1. Ali, W. G. M., & Ayou, N. S. (2010). Nurses' attitudes toward caring for dying patient in Mansoura university hospital. Journal of Medicine and Biomedical Sciences, 1(1), 16-23.
  2. AN, M. S., & Lee, K. J. (2014). Awareness of good death and attitudes toward terminal care among geriatric hospital nurses. The Korean Journal of Hospice and Palliative Care, 17(3), 122-133.
  3. Chi, K. A., & Kim, E. J. (2005). Factors influencing nurse's attitude toward hospice. Journal of Korean Academy of Psychiatric Mental Health Nursing, 14(3), 285-291.
  4. Cho, H. J., & Kim, E. S. (2005). The effect of the death education program on the death anxiety and attitudes toward nursing care of the dying patients of nursing student. Korean Journal of Hospice and Palliative Care, 8(2), 163-172.
  5. Collett, L., & Lester, D. (1969). The fear of death and the fear of dying. The Journal of Psychology, 72(2), 179-81.
  6. Frommelt, K. H. M. (1991). The effects of death education on nurses' attitudes toward caring for terminally ill persons and their families. American Journal of Hospice & Palliative Care, 8(5), 37-43.
  7. Hong, E. M., Jun, M. D., Park, E. S., & Ryu, E. J. (2013). Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncology Nursing, 13(4), 265-272.
  8. Inumiya, Y. A., & Han, S. Y. (2004). A study on development of a view of life and death scale. The Korean Psychological Association, 10(1), 31-82.
  9. Ji, S. I., & You, H. S. (2014). The impact of clinical nurses' terminal care attitude and spiritual health on their terminal care stress. The Korean journal of hospice and palliative care, 17(4), 232-240.
  10. Jo, M. J., & Jun, W. H. (2015). Effects of end-of-life care education using self reflection diary on spirituality, death orientation, and attitudes toward nursing care of the dying patients in nursing students. Journal of the Korea Contents Association, 15(12), 294-303.
  11. Kang, J. H., & Han, S. J. (2013). A study of intensive care unit nurses' understanding of the meaning of death, death anxiety, death concern and respect for life. The Korean Journal of Hospice and Palliative Care, 16(2), 80-89.
  12. Kang, S. E., & Lee, B. S. (2001). The lived experience of nursing care for the dying patients in clinical nurses. The Journal of Korean Nursing Administration Academic Society, 7(2), 237-251.
  13. Kim, M. H., & Lee, E. S. (2015). Nurses' stress, attitude and performance during terminal care towards do-not resuscitate patients. Chonnam Journal of Nursing Science, 20(1), 25-41.
  14. Kim, S. R., No, M. J., Moon, K. E., Cho, H. J., Park, Y., Lee, N. J., . . . Sim, M. Y. (2018). Intensive care unit nurses' death perception, end of life stress and end of life nursing attitudes. Journal of Korean Clinical Nursing Research, 24(2), 255-262.
  15. Lee, H. Y., Lee, Y. O., Choi, E. Y., & Park, Y. M. (2007). A comparison on stress and coping of bereavement care between nurses in the cancer unit and nurses in the general unit. Asian Oncology Nursing, 7(1), 26-35.
  16. Lee, K. J., & Park, Y. S. (2015). Nurses' spirituality and attitude toward terminal care in geriatric hospital. Journal of Digital Convergence, 13(12), 347-357.
  17. Lee, M. Y. (2012). End-of-life care stress and strategies of coping and relief among nurses (Unpublished master's thesis). Hanyang University, Seoul, Korea.
  18. Lee, Y. O. (2004). A study of cancer unit nurses' stress from bereavement support (Unpublished master's thesis). Kyung Hee University, Seoul, Korea.
  19. Nia, H. S., Lehto, R. H., Ebadi, A., & Peyrovi, H. (2016). Death anxiety among nurses and health care professionals: A review article. International Journal of Community Based Nursing and Midwifery, 4(1), 2.
  20. Noh, S. S., Lee, C. K., & Sung, Y. H. (2016). Predictors of terminal care performance of clinical nurses for cancer patients. The Journal of Korea Critical Care Nursing, 19(2), 61-70.
  21. Park, E. J., & Seo, M. J. (2019). The influence of death anxiety and terminal care stress on job satisfaction of new nurses. Korean Journal of Occupational Health Nursing, 28(4), 230-241.
  22. Sasahara, T., Miyashita, M., Kawa, M., & Kazuma, K. (2003). Difficulties encountered by nurses in the care of terminally ill cancer patients in general hospitals in Japan. Palliative Medicine, 17(6), 520-526.
  23. Statistics Korea. (2019). 2018 population trends survey: Provisional results of birth and death statistics. Retrieved January 5, 2019, from:
  24. Stewart, A. E., Lord, J. H., & Mercer, D. L. (2000). A survey of professionals' training and experiences in delivering death notifications. Death studies, 24(7), 611-631.
  25. Suh, H. K. (1987). The relationships among life satisfaction. locus of control, death anxiety as perceived by Korean and American all the adults using selected personal demographic variables. The Journal of Korea Society for Health Education, 4(2), 1-41.
  26. Tunnah, K., Jones, A., & Johnstone, R. (2012). Stress in hospice at home nurses: A qualitative study of their experiences of their work and wellbeing. International Journal of Palliative Nursing, 18(6), 283-289.
  27. Yang, S. A. (2015). Convergence analysis of the factors influencing terminal care attitude. Journal of the Korea Convergence Society, 6(4), 73-88.
  28. Wafaa, G. M. A., & Nahed, S. A. (2010). Nurses attitudes toward caring for dying patient in Mansoura university hospitals. Journal of Medicine and Biomedical Science, 1(1), 16-23.
  29. Woo, Y. W., Kim, K. H., & Kim, K. S. (2013). Death anxiety and terminal care stress among nurses and the relationship to terminal care performance. The Korean Journal of Hospice and Palliative Care, 16(1), 33-41.